HomeMy WebLinkAboutBuilding Permit Application tir .j
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0���
Date: 18 0 Permit NLn2
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Building Permit Applicati 2013
Planning and Development Services Permitting rtment
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Building and Code Regulation Division M
2300 Virginia Avenue,Fort Pierce FL 34982 unt` . F•LPhone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION: a . ,
Address: 10044 S OCEAN DR 304
Legal Description: SEA WINDS CONDOMINIUM APT 304
Property Tax ID#: 4502-804-0020-000-7 Lot No.
Site Plan Name: Pruett Block No.
Project Name: Pruett
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Ex,46 cMnSe. out air wmc- V-o-+rr- unit '30,5',k � ��� Cj-%C,
CONSTRUCTION INFORMATION.,
Additional work toe nertormed under this permit—check all appy:
HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
Electric ✓❑ Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. It of Construction: S . of First Floor:
Cost of Construction:$ 400 Utilities:'n Sewer Septic Building Height:
OWNERAESSEE :, CONTRACTOR:
Name James M Pruett Name: ALEEN STEINMAN
Address:10044 S Ocean Dr#304 Company: SERVICE AMERICA
City: Jensen Beach State:FL Address: 2755 NW 63RD CT
Zip Code: 34957 Fax: City: FT LAUDERDALE State:FL
Phone No. Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100
Fill in fee simple Title Holder on next page(if different E-Mail: EPERMITSGROUP@SERVICEAMERICA.COM
from the Owner listed above) State or County License: CFC057026
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
SUPPLEMENTAL�CONSTRUCTION LIEN' LAW INFORMATIONt�
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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Signature CTsee/Contractor as Agent for Owner Signatur o Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Q COUNTY OF It A
The forgoing instrume t was acknowledge efore me The forgoing instrument was acknowledged before me
this�day of 20/(Y this day of q� 20 by
Allen ALLEN STEINMAN
(Name of person ackno a ��� Nota Public-State of Florida (Name of pers n �r ecging
Notary z e a� Debbie Jeffries
�� ac Commission#GG 70668 Notary Public-State of Florida
ST
OFF�O�\ Expires 2012021 ' \ Commission#GG70668
(Signature ofNUtary Public-State of Florida) (Signature o ic-Stat ' fflbR@?P21
Personally Known� OR Produced Identification Personally Known OR Produced Identification
'`
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS